Dr Ian M Fisher, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Crystal Lake, Illinois. He went to Chicago College Of Medicine And Surgery and graduated in 2000 and has 24 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Basha Diagnostics P C, Basha Diagnostics P C and his current practice location is
820 E Terra Cotta Ave, #129 136 Open Advanced Mri Of Crystal Lake Llc, Crystal Lake, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 444-1330.
Dr Ian M Fisher is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902828197.
Physician's Profile
| Full Name | Dr Ian M Fisher |
|---|
| Gender | Male |
|---|
| Speciality | Diagnostic Radiology |
|---|
| Experience | 24 Years |
|---|
| Location | 820 E Terra Cotta Ave, Crystal Lake, Illinois |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Ian M Fisher attended and graduated from Chicago College Of Medicine And Surgery in 2000
NPI Data:
- NPI Number: 1902828197
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 02/25/2008
Medicare PECOS Information:
- PECOS PAC ID: 1557369410
- Enrollment ID: I20061201000320
Medical Identifiers
Medical identifiers for Dr Ian M Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902828197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Basha Diagnostics P C | 5890681746 | 34 |
| Basha Diagnostics P C | 5890681746 | 34 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ian M Fisher allows following entities to bill medicare on his behalf.
| Entity Name | Mount Sinai Community Foundation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1376715896
PECOS PAC ID: 5991600405
Enrollment ID: O20040202001032 |
|---|
| Entity Name | Basha Diagnostics P C |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1770693798
PECOS PAC ID: 5890681746
Enrollment ID: O20170608002045 |
|---|
| Entity Name | Howard Simon Md Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1659930998
PECOS PAC ID: 7214369966
Enrollment ID: O20191118002405 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ian M Fisher is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ian M Fisher, MD
1126 S 70th St, #n500,
Milwaukee, WI 53214
Ph: (414) 455-4780 | Dr Ian M Fisher, MD
820 E Terra Cotta Ave, #129 136 Open Advanced Mri Of Crystal Lake Llc,
Crystal Lake, IL 60014
Ph: (815) 444-1330 |
Reviews and Comments